Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $72.44 / $87.10	Facility		$58.88	$72.44	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $64.57 / $83.18	Professional		$57.54	$64.57	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $128.82	Professional		$60.26	$74.13	$128.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $53,703.18	Facility		$114.82	$114.82	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $346.74	Professional		$66.07	$66.07	$346.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $125.89 / $302.00	Facility		$79.43	$125.89	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $162.18	Professional		$83.18	$123.03	$162.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $69.18 / $69.18	Facility		$60.26	$69.18	$69.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $128.82	Professional		$60.26	$81.28	$128.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $117.49	Professional		$89.13	$109.65	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $177.83	Professional		$53.70	$85.11	$177.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Facility		$60.26	$79.43	$79.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $134.90	Professional		$44.67	$79.43	$134.90